MyChart™ PHR ProgramSunnybrook Health Sciences Centre

December 12, 2016

Sunnybrook’s MyChart™ A Brief Overview

Sunnybrook’s MyChart™ program is a patient-driven personal health record solution that was developed in-house and launched in February 2006. At the time, MyChart™ was one of Canada’s first PHR solutions and over the course of the past 10 years it has evolved into a mature, credible, and proven platform.

MyChart™ enables patients, families, caregivers, and clinicians across the continuum of care to participate in personal health management.

Our patients can view and trend their test results (labs, radiology images, and pathology), view clinical reports, request and schedule appointments, submit consult assessment forms and questionnaires, and document their personal self-entered health information all in one record view.

Data available is not limited to Sunnybrook – our users can view data from any participating hospital or community care site such as Mount Sinai Hospital, Michael Garron Hospital, William Osler Health System, etc.

MyChart™ Users are empowered with sharing capabilities – they can delegate access from anywhere, at any time and the process is completely controlled and managed by the User.

Through MyChart™, patients are able to self-manage and take “ownership” of their health management needs – patients become more knowledgeable of their overall health, manage conditions, and follow treatment which helps keep them connected to their health status.

The program is continuously expanding, adding features, and developing new solutions in close partnership with our clinicians.

Sunnybrook’s MyChart™ Changing the hospital landscape

Many organizations across the province use their own electronic systems that are not capable of integrating with one another - MyChart™ is able to integrate with various data sources to provide patients a consolidated view of their medical record in addition to the patient’s own personal information which is essential to make informed care decisions

MyChart has significantly increased the level of engagement and participation of patients in health care management

There are ~45,000 logins to the system every month. Patients are able to access information that typically would have been retrieved in person through the release-of-information (ROI) process

When patients visit Health Records in person, they have the opportunity to enroll in MyChart instead of waiting for hospital staff to make physical copies of their record, which may take up to 30 days to process.

Through data. With a PHR solution like MyChart we can learn more about our patient’s health care requirements. We can help clients stay healthier with the right care, at the right time, in the right place so they can stay home longer.

Monitor Patient activity : patient engagement outside between visits

(via surveys, targeted information, pre-visit questionnaires, healthy tips, patient education material.

How often patients access care, ER? Where do patients access care? How are patient’s self monitoring ? Access to patient’s circle of care/providers? Patient follow up appointments and

reminders, annual screenings Chronic conditions, complex care

Cost savings – reduce/avoid duplicating tests when dealing with multiple physicians, hospitals, ER services.

Increased communication to providers and with patients.

MyChart’s open architecture allows for future integration with multiple assets – Provincial databases (OLIS, Panorama), specialized tools (eReferral solutions), etc.

MyChart™ PHR

Integration

Hospitals

Laboratories

Emergency Services

Family Doctors

Pharmacy

Patients Self-Input

Data[PHR]

Medical Device

Integration

Community Care

Services

Sunnybrook’s MyChart™ How does MyChart™ Support the Health System Overall?

Collaborative disease tracking has the potential to lower communication barriers between patients and caregivers – better medication compliance.

Reduce adverse drug events in the outpatient setting.

Eliminate duplication of lab work and other tests.

Making the most of MyChart™A Physician Perspective

Secure electronic communication between patients and physicians can free clinicians from the limitations of telephone and face-to-face communication or improve the efficiency of such personal contacts.

Reduce Administrative Costs - PHRs provide patients with easy access to electronic prescription refills, appointment scheduling applications, test results, medical history – focus on delivering care, not on retrieving information.

2014

91% [70 responses]

2014

User Surveys / Feedback “MyChart supports better health management”

86% [4,710 responses]

2015

94% [665 responses]

84% [4,385 responses]

2013

A Patient Story

• Judith Morley, a Sunnybrook patient, was aboard a plane on her way to Mexico when she began to experience intense abdominal pains

• A physician on board the flight strongly suggested to make an emergency landing and she was rushed to a local hospital

• Doctors at the hospital learned she had a history of cancer and had undergone multiple surgeries

• Judith informed the doctors that she was a Sunnybrook patient and had an online service called MyChart™ that allowed her to access her medical record from the hospital in Canada.

• Doctors were able to make decisions quickly about her care, avoiding surgery and the potential complications that could have arisen. Judith credits MyChart™ with saving her life.

• The patient’s story is available on our promotional video – the full clip can be viewed here: https://dl.dropboxusercontent.com/u/1284702/MyChart-full.mp4

User Surveys / Feedback Patient and Physician Testimonials

Physician Testimonials

• Dr. Calvin Law , Chief of the Edmund Odette Cancer Centre is one of MyChart’s strongest supporters. While he noted there were initially some concerns that direct access to medical records would cause confusion or increase anxiety among patients, it has led to better-informed patients he said.

• “It empowers the patients so much more – like we are in it together. And it is a whole new way of doing medicine” – Dr. Calvin Law

• Both Dr. Calvin Law’s and Dr. Ari Zaretsky’s testimonials are available in our promotional video. The video is available here (at 2:18min and 4:07min marks, respectively):

https://dl.dropboxusercontent.com/u/1284702/MyChart-full.mp4

User Surveys / Feedback Patient and Physician Testimonials

Physician Adoption and Access

Ontario

GTA (close-up)

Clinical Data (most frequently accessed)

Lab results25,000-30,000 views/month

Microbiology & Blood Bank10,000 views/month

Radiology results25,500 views/month

Transcriptions (clinical notes)30,000 views/month

Pathology results10,000 views/month

MyChart™ Statistics

152,000 users as of December 2016

… to National reach

From Local …

Users by Postal Code and Program

Sunnybrook’s MyChart™ Connecting from Anywhere in the World

152,000 users as of December 2016With global access from…

165 countries5,026 cities

Sunnybrook’s MyChart™ Supporting Continuity of Care with local and regional partnerships

Sunnybrook’s MyChart™ In Summary

Patients aim for a greater role in personal health management. MyChart™ leverages the internet to help empower patients with convenient online access to information and services for improved quality of life at home

MyChart is successful because patients and providers embrace and advocate the use of personal health management solutions leveraging technology

The MyChart portal has an open architecture and follows a patient-centric model that allows our team to explore new opportunities to integrate with other health care organizations